Evidence map›Paper›PMID 28806562›Full record

ArticleJournal of critical care2017

Zika virus-induced neurological critical illness in Latin America: Severe Guillain-Barre Syndrome and encephalitis.

Ugarte Ubiergo Sebastián, Arenas Villamizar Angel Ricardo, Bruno C Alvarez, Angela Cubides, Angélica F Luna, Max Arroyo-Parejo, Cayri E Acuña, Agamenón V Quintero, Orlando Ch Villareal, Oscar S Pinillos and 15 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of critical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  6. Prevalence of Guillain-Barré syndrome among Zika virus infected cases: a systematic review and meta-analysis.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Pooled it
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Flaviviruses-Induced Neurological Sequelae.Pathogens (Basel, Switzerland) · 2024
    Review
  13. An Overview of Zika Virus and Zika Virus Induced Neuropathies.International journal of molecular sciences · 2024
    Review
  14. Review
  15. Article
  16. Article
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  20. Zika virus: a public health perspective.Current opinion in obstetrics & gynecology · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 19 institutions in 10 countries.

Ugarte Ubiergo SebastiánCritical Care Department, Clínica Indisa, Universidad Andrés Bello, Santiago de Chile, Chile; FEPIMCTI, Council WFSICCM, Chile.
Arenas Villamizar Angel RicardoClinica Indisa, Santiago de Chile, Chile. Electronic address: arenasvangelr@gmail.com.
Bruno C AlvarezUniversity of Texas Southwestern, Dallas, TX, United States.
Angela CubidesUniversidad Santiago de Cali, Cali, Colombia; Universidad del Valle, Cali, Colombia.
Angélica F LunaGeneral Critical Care Unit and Intermediate Care, Neiva, Colombia.
Max Arroyo-ParejoHospital Privado Clínica Santa Sofía, Caracas, Venezuela; Hospital Vargas de Caracas, Caracas, Venezuela.
Cayri E AcuñaHospital Vargas de Caracas, Caracas, Venezuela.
Agamenón V QuinteroCritical Care Department, Imatoncomédica, Córdoba, Colombia.
Orlando Ch VillarealClínica Evaluamos, Córdoba, Colombia; Facultad de Medicina, Universidad del Sinú, Córdoba, Colombia.
Oscar S PinillosMetabolic Disorders and Intensive Care Research Group, Cali, Colombia.
Elías ViedaHospital Universitario del Valle, Cali, Colombia.
Manuel BelloCritical Care Department, Hospital Nacional San Rafael, San Salvador, El Salvador; Salvadorean Critical Care Association, El Salvador.
Susana PeñaMinistry of Health, San Salvador, El Salvador.
Carmelo Dueñas-CastellUniversidad de Cartagena, Clínica Gestión Salud, Cartagena, Colombia.
Gloria M V RodriguezHIMA San Pablo Caguas, Puerto Rico.
Jorge L M RaneroHospital General de Enfermedades, Instituto Guatemalteco de Seguridad Social, Guatemala City, Guatemala.
Rosa L M LópezHospital Guillermo Almenara, Lima, Peru.
Sandra G OlayaObstetric and Gynecologic Intensive Care Unit, Hospital San Jorge Pereira, Colombia.
José C VergaraHospital Luis Vernaza, Holy Spirit University of Guayaquil Ecuador, Guayaquil, Ecuador; Universidad Espíritu Santo de Guayaquil, Ecuador.
Ana TandazoHospital Luis Vernaza, Holy Spirit University of Guayaquil Ecuador, Guayaquil, Ecuador; Universidad Espíritu Santo de Guayaquil, Ecuador.
Juan P S OspinaClínica Medilaser, Neiva, Colombia.
Igor M Leyton SotoClínica INDISA, Santiago de Chile, Chile.
R A FowlerClinical Epidemiology, Sunnybrook Research Institute, Canada; Sunnybrook Health Sciences Centre, Canada; Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Canada.
John C MarshallSurgery, University of Toronto, Canada; Michael Hospital, Toronto, Canada.
LACCTIN groupLatin American Critical Care Trial Investigative Network (LACCTIN), Sta María 1810, Providencia, Santiago, Región Metropolitana, Chile.
University of Guayaquil · ECClínica Alemana · CLClínica MEDS (Chile) · CLESE University Hospital San Jorge Pereira · COHospital Base Guillermo Almenara Irigoyen · PEHospital Clínico Universitario de Caracas · VEHospital General San Juan de Dios · GTHospital Nacional de Niños Bloom · SVHospital Universitario del Valle ESE · COHospital Vargas · VEMinisterio de Salud · SVSan Juan Bautista School of Medicine · PRSt. Michael's Hospital · CASunnybrook Health Science Centre · CAThe University of Texas Southwestern Medical Center · USUniversidad Andrés Bello · CLUniversidad Santiago de Cali · COUniversity of Cartagena · COUniversity of Córdoba · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zika virus (ZIKAV) is classically described as causing minor symptoms in adult patients, however neurologic complications have been recognized. The recent outbreak in Central and South America has resulted in serious illness in some adult patients. We report adult patients in Latin America diagnosed with ZIKAV infection admitted to Intensive Care Units (ICUs).

methodsMulticenter, prospective case series of adult patients with laboratory diagnosis of ZIKAV in 16 ICUs in 8 countries.

resultsBetween December 1st 2015 and April 2nd 2016, 16 ICUs in 8 countries enrolled 49 critically ill patients with diagnosis of ZIKAV infection. We included 10 critically ill patients with ZIKAV infection, as diagnosed with RT-PCR, admitted to the ICU. Neurologic manifestations concordant with Guillain-Barre Syndrome (GBS) were present in all patients, although 2 evolved into an encephalitis-like picture. 2 cases died, one due to encephalitis, the other septic shock.

conclusionsDiffering from what was usually reported, ZIKAV infection can result in life-threatening neurologic illness in adults, including GBS and encephalitis. Collaborative reporting to identify severe illness from an emerging pathogen can provide valuable insights into disease epidemiology and clinical presentation, and inform public health authorities about acute care priorities.

Indexed as

Disease OutbreaksAdultAgedAPACHECritical CareCritical IllnessEncephalitis, ViralFemaleGuillain-Barre SyndromeHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesSouth AmericaYoung AdultCritical careEpidemic outbreakGuillain-Barre SyndromeIntensive Care UnitsLatin AmericaZika virus

Identifiers

PMID28806562
PMCPMC7127615
OpenAlexW2744957944

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.